Management

outpouring of protein rich fluid into lung in severe acid aspiration may
lead to relative intravascular hypovolaemia. Whether the optimal fluid
management is fluid administration or restriction is unclear. Inotropes may be
required

therapeutic bronchoscopy if there is particulate aspiration, focal pulmonary
collapse or CXR evidence of foreign body. Rigid procedure of choice to remove
semisolid material and most inhaled objects. Flexible for small solid
particles

antibiotics for secondary bacterial infection and infected fluid aspiration.
Antibiotics depend on setting (ie community/hospital) and whether aspiration
was of liquid or solid. For pneumonia secondary to aspiration of solid
particles cover anaerobes with penicillin or clindamycin